Medicare Alternative Payment Model Adoption

The Medicare Alternative Payment Model (APM) Adoption data set provides information on the amount and percent of Medicare payments flowing through APMs…

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION on Snowflake and Databricks — coverage from 2024 to 2024 in a single aligned schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION
Databricks	cms_dwv.medicare_alternative_payment_model_adoption
Coverage	Jan 2024 – Dec 2024
Cadence	Annual
CMS published	2026-03-16
Loaded	2026-03-16
Columns	3 data + 6 lineage
File versions	1
License	CMS public data — U.S. Government work
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset — start a free trial on Snowflake Marketplace.

Current — CMS last published this feed on 2026-03-16. Coverage runs through 2024-12-31. Next CMS release expected ~Mar 2027.

Sample queries

Snowflake

SELECT *
FROM DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION
LIMIT 100;

Databricks

About this feed

The Medicare Alternative Payment Model (APM) Adoption data set provides information on the amount and percent of Medicare payments flowing through APMs, including downside risk models. The data is segmented according to the categories of the HCP-LAN APM framework, which provides a common, industry framework for classifying payment models. The Framework classifies APMs in four categories and eight subcategories, specifying decision rules to standardize classification efforts.

— Source: CMS feed metadata

Keywords: Medicare, Original Medicare, Chronic Conditions, Value-Based Care, Coordinated Care Theme: Medicare

Coverage timeline

2024 🟩

1 of 1 years covered — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
2024-01-01 – 2024-12-31	2026-03-16	2026-03-16	✓

Data dictionary

📋 3 data columns + 6 lineage columns

Data columns

Column	Type	Description
APM_CATEGORY	TEXT
TOTAL_FEE_FOR_SERVICE_MEDICARE_DOLLARS_PAID_THROUGH_APM_CATEGORY	NUMBER	TOTAL FEE-FOR-SERVICE MEDICARE DOLLARS PAID THROUGH APM CATEGORY
PERCENT_OF_FEE_FOR_SERVICE_MEDICARE_DOLLARS_PAID_THROUGH_APM_CATEGORY	NUMBER	PERCENT OF FEE-FOR-SERVICE MEDICARE DOLLARS PAID THROUGH APM CATEGORY

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file — joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed — joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

SELECT d.APM_CATEGORY, d.TOTAL_FEE_FOR_SERVICE_MEDICARE_DOLLARS_PAID_THROUGH_APM_CATEGORY, d.PERCENT_OF_FEE_FOR_SERVICE_MEDICARE_DOLLARS_PAID_THROUGH_APM_CATEGORY,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Source & provenance

Published by the Centers for Medicare & Medicaid Services (bureau 009:38).

• Official CMS data dictionary

• Medicare Alternative Payment Model Adoption Methodology

Frequently asked questions

How often is Medicare Alternative Payment Model Adoption updated?

Annually. CMS last published this feed on 2026-03-16, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

What years does Medicare Alternative Payment Model Adoption cover?

2024 through 2024.

How many records are in Medicare Alternative Payment Model Adoption?

Count the current snapshot yourself once the share is mounted:

SELECT COUNT(*)
FROM DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

How do I get Medicare Alternative Payment Model Adoption data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.MEDICARE_ALTERNATIVE_PAYMENT_MODEL_ADOPTION directly — no pipeline setup required.

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Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share — the database and DWV schema appear in your account immediately

3. Run the sample query above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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